Provider Demographics
NPI:1235228230
Name:LEW, HENRY A (PHARMD)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:A
Last Name:LEW
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:46 SAINT CLAIRE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-1114
Mailing Address - Country:US
Mailing Address - Phone:925-680-0385
Mailing Address - Fax:925-685-3109
Practice Address - Street 1:235 W MACARTHUR BLVD
Practice Address - Street 2:ADULT ONCOLOGY 1ST FLOOR
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5641
Practice Address - Country:US
Practice Address - Phone:510-752-6564
Practice Address - Fax:510-752-1215
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA321791835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology